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Biomedical subjects

Ia B Iudin

Publications and source records attributed to Ia B Iudin.

At least 19 recordsLinked to original sources
PubMed1996

[Chronic duodenal obstruction in children].

Chronic duodenal obstruction was observed in 18 children aged from 2 months to 14 years. The disease was caused by different malformations of the intestine. In children younger than 7 years of age the main clinical manifestation of the disease was the syndrome of vomiting. Older children were admitted for examination for the chronic abdominal pain syndrome. Roentgen-contrast methods of examination of the stomach and duodenum were of decisive significance. All the children were operated upon. The operative method was chosen according to the intestinal malformation.

Adolescent↗
PubMed1995

[Diagnosis and treatment of ceco-ileal reflux in children].

A cecoileal reflux detected in children under the age of 5 years may be related to the manifestations of relative immaturity. In older children experiencing continuous pain, irrigography must be performed to verify the diagnosis and the degree of the reflux. In a group of 111 patients, 51 with Degree 2 and 3 passive reflux underwent operation. Appendectomy was performed in which the purse-string suture created conditions for tightening the frenuli, which explains the effectiveness of interventions verified by late results.

Acute Disease↗
PubMed1993

[Extracorporal and endogenous detoxication in appendicular peritonitis in children].

The article deals with the method for detoxification of patients with diffuse and generalized peritonitis. Exogenous detoxification was accomplished by the open method for peritonitis management (laparotomy), endogenous detoxification was achieved by well-founded intraperitoneal and intravenous administration of proteolysis inhibitors. Comparison of the two groups of patients who were operated on showed marked reduction of mortality from 22.2% to 2.7% in generalized peritonitis and from 9.6% to zero in diffuse peritonitis.

Appendicitis↗
PubMed1991

[Early commissural ileus after appendectomy in children].

The results of treatment of early commissural ileus (ECI) after appendectomy in children for the period of from 1971 to 1988 are presented. Before 1980, the active tactics of treatment was predominantly used. Of the 4412 patients who underwent appendectomy, ECI developed in 28 (0.68%), 18 were operated on, including the 7--repeatedly. Since 1980, the complex of conservative measures permitting to avoid the operative intervention more than in 60% of the patients has been introduced. Of the 4281 patient operated on for acute appendicitis, ECI developed in 12 (0.28%). The conservative measures has proved to be effective in 2/3 patients. Recurrency of commissural ileus was noted in 1 patient. There were no lethal outcomes.

Acute Disease↗
PubMed1990

[Laparoscopy in the diagnosis of acute appendicitis in children].

In the period between 1984 and 1988 laparoscopy was conducted 846 times in children with suspected acute appendicitis. In 301 children the diagnosis was confirmed in atypical forms of appendicitis. In 418 children laparoscopy revealed diseases which are recognized with great difficulties (mesadenitis, primary peritonitis, genital diseases, etc.), in which the final diagnosis is usually established during laparotomy. In 39 children laparoscopic diagnosis was conducted during intercurrent diseases in which the abdominal pain syndrome simulated the clinical picture of acute appendicitis. As the result of laparoscopic examination the number of operations for simple forms reduced from 38.3 to 6.2% and the timely diagnosis of acute appendicitis improved.

Abdomen, Acute↗
PubMed1990

[Ways of improving results of the treatment of appendicular peritonitis in children].

The analysis of the results of treating 849 children with appendicular peritonitis for 1975-1989 was carried out. In 1975-1982, the reoperations for early intraabdominal complications were performed in 28 (5.4%) patients, the lethality was 1.7%. Use in the clinic of the common classification of peritonitis permitted to enhance the effectiveness of preoperative diagnosis, and improve the results of its treatment. The incidence of relaparotomy reduced to 0.8%, and lethality--to 0.3%.

Acute Disease↗
PubMed1989

[Surgical treatment of myasthenia gravis in children].

The article deals with the treatment of myasthenia in 33 children whose ages ranged from 3 to 15 years. Myasthenia of moderate severity was diagnosed in 14, severe in 15, and extremely severe in 2 children. To make a precise diagnosis, loading, neostigmine methylsulfate, cold, and D-tubocurarine tests were conducted. Thymectomy was performed in 32 patients. The operation was carried out through a T-shaped sternotomy approach. Thymogenic myasthenia was verified in 31 patients and thymomogenic only in one patient. There were no fatal outcomes. The late-term results were studied in 12 patients in follow-up periods of 3 to 6 years. Adaptational activity of the patients, anticholinesterase agents and the results of stimulant electric myography served as the criterion in appraising the late-term results. Modern diagnostic methods and surgical intervention ensure a favourable result in 75% of patients.

Adolescent↗
PubMed1989

[Secondary omentitis in children following appendectomy].

The data on treatment of 18 children with secondary omentitis, which developed after appendectomy, are presented. A complication can manifest itself as an abscess of the omentum and as its infiltration, differing in clinical picture and the findings of electromyography. On the basis of the analysis of 463 appendectomies, at the time of which the changes in the omentum were revealed, the association of the form of appendicitis and secondary omentitis is shown. The necessity for resection of the omentum in periappendicular abscess and general peritonitis is noted.

Appendectomy↗